| Provider Billing Senior Auditor Job Description |
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| The following is a full job description for Provider Billing Senior Auditor. Here are the requirements and responsibilities for Provider Billing Senior Auditor along with statistics. If after reading this page you determine that Provider Billing Senior Auditor is not the position you are looking for, you may want to try one of these similar titles: Provider Billing Auditor, Provider Billing Investigation Director, Provider Billing Investigator III, Provider Billing Investigator I, Provider Billing Investigator II, Provider Billing Investigation Manager, Billing Supervisor, Billing Manager, Billing Analyst III |
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| Requirements and Responsibilities For Provider Billing Senior Auditor |
| Responsible for auditing healthcare claims to ensure that medical providers are properly billing insurance companies. Uses knowledge of the medical policy to analyze claims and identify abnormal, questionable, and/or fraudulent billing practices. Compares clinical records against submitted insurance claims to ensure services were billed accurately and are backed by documentation. Identifies irregularities and compiles reports based on the findings. Requires a bachelor's degree. Typically reports to a manager. Work is generally independent and collaborative in nature. Contributes to moderately complex aspects of a project. Typically requires 4-7 years of related experience. |
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| Also referred to as: Healthcare Billing Auditor II |
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| Similar Jobs: Provider Billing Auditor, Provider Billing Investigation Director, Provider Billing Investigator III, Provider Billing Investigator I, Provider Billing Investigator II, Provider Billing Investigation Manager, Billing Supervisor, Billing Manager, Billing Analyst III |
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| Level of Education: Provider Billing Senior Auditor Salaries with No Diploma, Provider Billing Senior Auditor Salaries with a High School Diploma or Technical Certificate, Provider Billing Senior Auditor Salaries with an Associate's Degree, Provider Billing Senior Auditor Salaries with a Bachelor's Degree, Provider Billing Senior Auditor Salaries with a Master's Degree or MBA, Provider Billing Senior Auditor Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Business Services, Edu., Gov't. & Nonprofit, Financial Services, Healthcare, Insurance | |
